Neuro Tutor

Post-clinical neurology tutoring

The tutor now answers like consult rounds and then self-audits the reasoning: syndrome grammar, localization hierarchy, mechanism, alternatives, decisive next data, and the one finding that should overturn the current frame.

API target: internal Next.js route handlers

Teaching frame

Default depth after core bedside training: localization hierarchy, mechanism, and discriminating data.

The answer and rubric audit appear in the Tutor response panel below.

Reasoning standard

What the tutor now checks explicitly

  • Force syndrome formulation before naming a lesion or disease.
  • Rank localization layers instead of jumping to one label too early.
  • Explain what additional data would most efficiently change the differential.
  • State what finding would most change the localization if the current answer is wrong.
  • Return a rubric-based self-audit instead of leaving the grading implicit.

Shared reasoning rubric

Grade the answer step by step

0 Missing
1 Weak
2 Partial
3 Strong
4 Exemplary

Syndrome formulation

Name the bedside pattern before jumping to a lesion label or etiology.

  • What exactly is failing
  • What is preserved
  • Whether the complaint is cortical, subcortical, peripheral, or network-level

Localization hierarchy

Rank the strongest anatomical levels instead of pretending the first idea is final.

  • Best-fit level first
  • Why deeper or more lateral alternatives are weaker
  • Loop versus output failure when relevant

Mechanism and circuit logic

Tie the syndrome to a tract, loop, relay, or physiological mechanism rather than to a memorized buzzword.

  • Named tract or circuit
  • Why the signs fit that circuit
  • How physiology produces the bedside pattern

Competing alternative

Make the best rival explanation explicit and explain why it loses.

  • A serious alternative, not a straw man
  • Decisive mismatch with the observed signs
  • Use of negative findings

Highest-yield next data

Ask for the one test, exam maneuver, or temporal clue that most efficiently re-ranks the case.

  • One decisive next step
  • Why it matters
  • How it would change the differential

What would change my mind

State the single finding that would force a different localization or mechanism.

  • A concrete disconfirming finding
  • A new localization if that finding appears
  • Humility about uncertainty without becoming vague

Module handoff

Use the tutor across the whole app

Tutor response

Answer and score

Ask a question to exercise the tutor route and see the structured rubric scoring.

Suggested prompts

Start with these advanced prompts